Provider Demographics
NPI:1144626201
Name:HAYDEN, JOANNE P (MA)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:P
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:JP
Other - Middle Name:
Other - Last Name:HAYDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 3841
Mailing Address - Street 2:
Mailing Address - City:STOWE
Mailing Address - State:VT
Mailing Address - Zip Code:05672-3841
Mailing Address - Country:US
Mailing Address - Phone:802-253-8912
Mailing Address - Fax:802-253-0809
Practice Address - Street 1:541 S MAIN ST
Practice Address - Street 2:
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672-4654
Practice Address - Country:US
Practice Address - Phone:802-253-8912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0470045066103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical